Role of urologist in diagnosis ofmultiple sclerosis

Dula, Eugene; Leach, Gary E.

doi:10.1016/0090-4295(91)80255-6

Cited by 9 publications

(2 citation statements)

References 13 publications

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“…). These studies consisted of 5,604 patients with MS and LUTD . Of these, 38 were urodynamic evaluation studies in which the type of voiding dysfunction was demonstrated.…”

Section: Resultsmentioning

confidence: 99%

Management of lower urinary tract dysfunction in multiple sclerosis: A systematic review and Turkish consensus report

Çeti̇nel

Tarcan

Demi̇rkesen

et al. 2013

Neurourology and Urodynamics

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“…). These studies consisted of 5,604 patients with MS and LUTD . Of these, 38 were urodynamic evaluation studies in which the type of voiding dysfunction was demonstrated.…”

Section: Resultsmentioning

confidence: 99%

Management of lower urinary tract dysfunction in multiple sclerosis: A systematic review and Turkish consensus report

Çeti̇nel

Tarcan

Demi̇rkesen

et al. 2013

Neurourology and Urodynamics

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“…Between 50 percent and 90 percent of all MS patients will experience bladder dysfunction during the course of the disease (1)(2)(3), and voiding dysfunction is the presentmg symptom m 10 percent of patients (3 ). Therefore, it is imperative that one consider MS in the differential diagnosis of patients with significant voiding complaints.…”

Section: Bladder Dysfunction In Multiple Sclerosismentioning

confidence: 99%

Bladder Dysfunction in Multiple Sclerosis

Kobashi¹,

Leach²

1999

Neurorehabil Neural Repair

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Multiple sclerosis (MS) involves focal neural demyelmation with relative sparing of axons and resultant impaired nerve conduction. Demyelination commonly affects the posterolateral columns of the spinal cord, with the majority of patients having cervical cord involvement. Forty percent of patients have lumbar cord involvement and 18 percent have sacral cord involvement. The cerebral cortex and midbram may also be affected. Lesions in any of these areas can affect voiding function.Between 50 percent and 90 percent of all MS patients will experience bladder dysfunction during the course of the disease (1-3), and voiding dysfunction is the presentmg symptom m 10 percent of patients (3 ). Therefore, it is imperative that one consider MS in the differential diagnosis of patients with significant voiding complaints. Neurorehabilitation and Neural Repair 1999;13:117-123 © 1999 Demos Medical Publishing sent with a variety of clinical pictures, including mcomplete emptymg, a total inability to void, recurrent urinary tract infections, urmary urgency, urge incontmence, and overflow mcontmence. Detrusor acontractility typically results in a low pressure urinary retention. However, over time, the detrusor compliance may deteriorate. Intravesical pressures may then be elevated even at low volumes.Low bladder compliance can therefore result m inhibited upper tract emptying, hydronephrosis, renal insufficiency, mcontmence, and urinary tract infections (6).

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